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影响骨科膝关节手术后早期患者满意度水平的因素。

Factors Affecting the Satisfaction Levels of Patients who Underwent Orthopedic Knee Surgery in the Early Postoperative Period.

作者信息

Erden Arzu, Emirzeoğlu Murat

机构信息

Faculty of Health Science, Department of Physiotherapy and Rehabilitation, Karadeniz Technical University, Trabzon, Turkey.

出版信息

J Patient Exp. 2021 Oct 4;8:23743735211043392. doi: 10.1177/23743735211043392. eCollection 2021.

Abstract

The aim of this study was to investigate the effects of biopsychosocial parameters in the early postoperative period on the satisfaction of patients. Seventy-seven patients (female/male: 61/16, age: 40.28 ± 17.67 years) who underwent arthroscopic meniscectomy (n = 43), anterior cruciate ligament reconstruction (n = 25) and total knee arthroplasty (n = 9) were included in this study. The satisfaction levelwas evaluated using the Orthopedics Service Inpatient Satisfaction Survey (OTISS). In addition, the pain intensity, anxiety, depression, and independence level in daily living activities of the patients were evaluated. There was a very weak negative correlation between the anxiety and the satisfaction level with the physiotherapist and secretary (: -0.274, : 0.016; r:-0.265, : 0.020). A very weak negative correlation was found between the pain intensity at activity and satisfaction with the nurse (: -0.227, : 0.048). There were very weak correlations between feeding and satisfaction with the physiotherapist (: 0.292, : 0.010), secretary (: 0.285, : 0.012), doctor (: -0.269, : 0.018), nurse (: 0.300, : 0.008) general satisfaction (: 0.251, : 0.028) and OTISS total score (: -0.305, : 0.007). In conclusion, the pain intensity, anxiety, and independence level in the early postoperative period were related to the satisfaction levels of patients who have undergone orthopedic knee surgery.

摘要

本研究旨在调查术后早期生物心理社会参数对患者满意度的影响。本研究纳入了77例接受关节镜半月板切除术(n = 43)、前交叉韧带重建术(n = 25)和全膝关节置换术(n = 9)的患者(女性/男性:61/16,年龄:40.28±17.67岁)。使用骨科服务住院患者满意度调查(OTISS)评估满意度水平。此外,还评估了患者的疼痛强度、焦虑、抑郁以及日常生活活动中的独立程度。焦虑与对物理治疗师和秘书的满意度之间存在非常弱的负相关(p = -0.274,α = 0.016;r = -0.265,α = 0.020)。活动时的疼痛强度与对护士的满意度之间存在非常弱的负相关(p = -0.227,α = 0.048)。进食与对物理治疗师(p = 0.292,α = 0.010)、秘书(p = 0.285,α = 0.012)、医生(p = -0.269,α = 0.018)、护士(p = 0.300,α = 0.008)的满意度、总体满意度(p = 0.251,α = 0.028)和OTISS总分(p = -0.305,α = 0.007)之间存在非常弱的相关性。总之,术后早期的疼痛强度、焦虑和独立程度与接受膝关节骨科手术患者的满意度水平相关。

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